Basisprofil Medikations-Verordnung (MedicationRequest)
Canonical URL: http://fhir.de/StructureDefinition/medicationrequest-de-basis/0.2
| medicationrequest-de-basis-0.2 (MedicationRequest) | C | MedicationRequest | There are no (further) constraints on this element Element idMedicationRequestShort description Ordering of medication for patient or group Alternate namesPrescription, Order DefinitionAn order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns.
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| id | Σ | 0..1 | id | There are no (further) constraints on this element Element idMedicationRequest.idShort description Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idMedicationRequest.metaShort description Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idMedicationRequest.implicitRulesShort description A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| language | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationRequest.languageShort description Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). A human language. Binding extensions
The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | C | 0..1 | Narrative | There are no (further) constraints on this element Element idMedicationRequest.textShort description Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later. The cardinality or value of this element may be affected by these constraints: ele-1, dom-1 Constraints
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| contained | 0..* | Resource | There are no (further) constraints on this element Element idMedicationRequest.containedShort description Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.
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| extension | C | 0..* | Extension | Element idMedicationRequest.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| rezept-zusatzinfos | C | 0..1 | Extension(Complex) | Element idMedicationRequest.extension:rezept-zusatzinfosShort description Rezept-Zusatzinformationen Alternate namesextensions, user content DefinitionZusatzinformationen im Kontext von Rezepten (Medikations-Verordnungen) There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension(Complex) Extension URLhttp://fhir.de/StructureDefinition/rezept-zusatzinfos/0.2 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | ?! C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.modifierExtensionShort description Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| identifier | 0..* | Identifier | There are no (further) constraints on this element Element idMedicationRequest.identifierShort description External ids for this request DefinitionThis records identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. For example a re-imbursement system might issue its own id for each prescription that is created. This is particularly important where FHIR only provides part of an entire workflow process where records must be tracked through an entire system. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| definition | Σ C | 0..* | Reference(ActivityDefinition | PlanDefinition) | There are no (further) constraints on this element Element idMedicationRequest.definitionShort description Protocol or definition DefinitionProtocol or definition followed by this request. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(ActivityDefinition | PlanDefinition) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| basedOn | Σ C | 0..* | Reference(MedicationRequest, deutsches Basisprofil (Version 0.2) | CarePlan | MedicationRequest | ProcedureRequest | ReferralRequest) | Element idMedicationRequest.basedOnShort description What request fulfills DefinitionA plan or request that is fulfilled in whole or in part by this medication request. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(MedicationRequest, deutsches Basisprofil (Version 0.2) | CarePlan | MedicationRequest | ProcedureRequest | ReferralRequest) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| groupIdentifier | Σ | 0..1 | Identifier | Element idMedicationRequest.groupIdentifierShort description gruppierender (zusammenfassender) Identifikator DefinitionEin Identifikator, der allen MedicationRequests gemeinsam ist, die annähernd zur selben Zeit vom selben Autor für den selben Patienten erstellt wurden. Dies kann beispielsweise zur Gruppierung für die in Deutschland üblichen 1..3 Verordnungen auf einem (Papier-)Rezept verwendet werden. Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| status | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationRequest.statusShort description active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown DefinitionA code specifying the current state of the order. Generally this will be active or completed state. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription MedicationRequestStatus (required) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| intent | Σ ?! | 1..1 | codeBinding | There are no (further) constraints on this element Element idMedicationRequest.intentShort description proposal | plan | order | instance-order DefinitionWhether the request is a proposal, plan, or an original order. It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only. An instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record. This element is labeled as a modifier because the intent alters when and how the resource is actually applicable. The kind of medication order MedicationRequestIntent (required) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| category | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idMedicationRequest.categoryShort description Type of medication usage DefinitionIndicates the type of medication order and where the medication is expected to be consumed or administered. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. A coded concept identifying where the medication ordered is expected to be consumed or administered MedicationRequestCategory (preferred) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| priority | Σ | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationRequest.priorityShort description routine | urgent | stat | asap DefinitionIndicates how quickly the Medication Request should be addressed with respect to other requests. Note that FHIR strings may not exceed 1MB in size Identifies the level of importance to be assigned to actioning the request MedicationRequestPriority (required) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| medication[x] | Σ | 1..1 | There are no (further) constraints on this element Element idMedicationRequest.medication[x]Short description Medication to be taken DefinitionIdentifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications. If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource. . A coded concept identifying substance or product that can be ordered. SNOMED CT Medication Codes (example) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| medicationCodeableConcept | CodeableConcept | Data type | ||||
| medicationReference | Reference(Medication, deutsches Basisprofil (Version 0.2) | Medication) | Data type Reference(Medication, deutsches Basisprofil (Version 0.2) | Medication) | ||||
| subject | Σ C | 1..1 | Reference(Patient, deutsches Basisprofil (Version 0.2) | Group | Patient) | Element idMedicationRequest.subjectShort description Who or group medication request is for DefinitionA link to a resource representing the person or set of individuals to whom the medication will be given. The subject on a medication request is mandatory. For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified. Reference(Patient, deutsches Basisprofil (Version 0.2) | Group | Patient) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| context | C | 0..1 | Reference(Encounter | EpisodeOfCare) | There are no (further) constraints on this element Element idMedicationRequest.contextShort description Created during encounter/admission/stay DefinitionA link to an encounter, or episode of care, that identifies the particular occurrence or set occurrences of contact between patient and health care provider. SubstanceAdministration->component->EncounterEvent. Reference(Encounter | EpisodeOfCare) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| supportingInformation | C | 0..* | Reference(Resource) | There are no (further) constraints on this element Element idMedicationRequest.supportingInformationShort description Information to support ordering of the medication DefinitionInclude additional information (for example, patient height and weight) that supports the ordering of the medication. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| authoredOn | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idMedicationRequest.authoredOnShort description When request was initially authored DefinitionThe date (and perhaps time) when the prescription was initially written or authored on. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| requester | Σ C | 0..1 | BackboneElement | There are no (further) constraints on this element Element idMedicationRequest.requesterShort description Who/What requested the Request DefinitionThe individual, organization or device that initiated the request and has responsibility for its activation. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.requester.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.requester.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.requester.modifierExtensionShort description Extensions that cannot be ignored Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| agent | Σ C | 1..1 | Reference(Organisation, deutsches Basisprofil (Version 0.2) | Patient, deutsches Basisprofil (Version 0.2) | Practitioner, deutsches Basisprofil (Version 0.2) | Device | Organization | Patient | Practitioner | RelatedPerson) | Element idMedicationRequest.requester.agentShort description Who ordered the initial medication(s) DefinitionThe healthcare professional responsible for authorizing the initial prescription. It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only. Reference(Organisation, deutsches Basisprofil (Version 0.2) | Patient, deutsches Basisprofil (Version 0.2) | Practitioner, deutsches Basisprofil (Version 0.2) | Device | Organization | Patient | Practitioner | RelatedPerson) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| onBehalfOf | Σ C | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element idMedicationRequest.requester.onBehalfOfShort description Organization agent is acting for DefinitionThe organization the device or practitioner was acting on behalf of. Practitioners and Devices can be associated with multiple organizations. This element indicates which organization they were acting on behalf of when authoring the request. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. The cardinality or value of this element may be affected by these constraints: ele-1, mps-1 Constraints
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| recorder | C | 0..1 | Reference(Practitioner, deutsches Basisprofil (Version 0.2) | Practitioner) | Element idMedicationRequest.recorderShort description Person who entered the request DefinitionThe person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(Practitioner, deutsches Basisprofil (Version 0.2) | Practitioner) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| reasonCode | 0..* | CodeableConcept | There are no (further) constraints on this element Element idMedicationRequest.reasonCodeShort description Reason or indication for writing the prescription DefinitionThe reason or the indication for ordering the medication. This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference. A coded concept indicating why the medication was ordered. Condition/Problem/Diagnosis Codes (example) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| reasonReference | C | 0..* | Reference(Deutsches Basisprofil einer Condition (Version 0.2) | Observation, deutsches Basisprofil (Version 0.2) | Condition | Observation) | Element idMedicationRequest.reasonReferenceShort description Condition or Observation that supports why the prescription is being written DefinitionCondition or observation that supports why the medication was ordered. This is a reference to a condition or observation that is the reason for the medication order. If only a code exists, use reasonCode. Reference(Deutsches Basisprofil einer Condition (Version 0.2) | Observation, deutsches Basisprofil (Version 0.2) | Condition | Observation) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| note | 0..* | Annotation | There are no (further) constraints on this element Element idMedicationRequest.noteShort description Information about the prescription DefinitionExtra information about the prescription that could not be conveyed by the other attributes. For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible). The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| dosageInstruction | 0..* | Dosage | There are no (further) constraints on this element Element idMedicationRequest.dosageInstructionShort description How the medication should be taken DefinitionIndicates how the medication is to be used by the patient. There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| dispenseRequest | 0..1 | BackboneElement | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequestShort description Medication supply authorization DefinitionIndicates the specific details for the dispense or medication supply part of a medication request (also known as a Medication Prescription or Medication Order). Note that this information is not always sent with the order. There may be in some settings (e.g. hospitals) institutional or system support for completing the dispense details in the pharmacy department. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.modifierExtensionShort description Extensions that cannot be ignored Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| validityPeriod | C | 0..1 | Period | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.validityPeriodShort description Time period supply is authorized for DefinitionThis indicates the validity period of a prescription (stale dating the Prescription). Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription. It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| numberOfRepeatsAllowed | 0..1 | positiveInt | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.numberOfRepeatsAllowedShort description Number of refills authorized DefinitionAn integer indicating the number of times, in addition to the original dispense, (aka refills or repeats) that the patient can receive the prescribed medication. Usage Notes: This integer does not include the original order dispense. This means that if an order indicates dispense 30 tablets plus "3 repeats", then the order can be dispensed a total of 4 times and the patient can receive a total of 120 tablets. If displaying "number of authorized fills", add 1 to this number. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| quantity | C | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.quantityShort description Amount of medication to supply per dispense DefinitionThe amount that is to be dispensed for one fill. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| expectedSupplyDuration | C | 0..1 | Duration | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.expectedSupplyDurationShort description Number of days supply per dispense DefinitionIdentifies the period time over which the supplied product is expected to be used, or the length of time the dispense is expected to last. In some situations, this attribute may be used instead of quantity to identify the amount supplied by how long it is expected to last, rather than the physical quantity issued, e.g. 90 days supply of medication (based on an ordered dosage) When possible, it is always better to specify quantity, as this tends to be more precise. expectedSupplyDuration will always be an estimate that can be influenced by external factors. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| performer | C | 0..1 | Reference(Organisation, deutsches Basisprofil (Version 0.2) | Organization) | Element idMedicationRequest.dispenseRequest.performerShort description Intended dispenser DefinitionIndicates the intended dispensing Organization specified by the prescriber. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(Organisation, deutsches Basisprofil (Version 0.2) | Organization) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| substitution | 0..1 | BackboneElement | Element idMedicationRequest.substitutionShort description aut-idem-Regelung DefinitionGibt an, ob ein alternatives Präparat (identischer Wirkstoff, Dosis, Form) angegegeben werden darf. Vgl. Definition des allowed-Elements The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.substitution.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.substitution.extensionShort description Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.substitution.modifierExtensionShort description Extensions that cannot be ignored Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| allowed | ?! | 1..1 | boolean | Element idMedicationRequest.substitution.allowedShort description aut-idem Definitionaut-idem-Regelung. false === aut-idem := KEIN Ersetzen durch Produkt eines anderen Herstellers erlaubt true === NICHT aut-idem := Ersetzen durch Produkt eines anderen Herstellers erlaubt This element is labeled as a modifer because whether substitution is allow or not cannot be ignored. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| reason | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationRequest.substitution.reasonShort description Why should (not) substitution be made DefinitionIndicates the reason for the substitution, or why substitution must or must not be performed. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. SubstanceAdminSubstitutionReason (example) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| priorPrescription | C | 0..1 | Reference(MedicationRequest, deutsches Basisprofil (Version 0.2) | MedicationRequest) | Element idMedicationRequest.priorPrescriptionShort description An order/prescription that is being replaced DefinitionA link to a resource representing an earlier order related order or prescription. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(MedicationRequest, deutsches Basisprofil (Version 0.2) | MedicationRequest) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| detectedIssue | C | 0..* | Reference(DetectedIssue) | There are no (further) constraints on this element Element idMedicationRequest.detectedIssueShort description Clinical Issue with action Alternate namesContraindication, Drug Utilization Review (DUR), Alert DefinitionIndicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| eventHistory | C | 0..* | Reference(Provenance) | There are no (further) constraints on this element Element idMedicationRequest.eventHistoryShort description A list of events of interest in the lifecycle DefinitionLinks to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource. This may not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.). The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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